Exam 4: Interpretation and Management of Basic Dysrhythmias

A patient's monitor strip shows an irregular rhythm. Which count and approach should the nurse use to estimate this patient's heart rate?

The nurse is analyzing a 6-second ECG rhythm strip with the following findings: P to QRS ratio is 1:1; four regular R waves were present; QRS width was 0.10 second; PR interval was 0.18 second. How should the nurse document this rhythm?

Which assessment finding indicates that a patient has had a favorable response to atropine?

What should the nurse include in the plan of care for a patient with atrial fibrillation? Select all that apply.

A patient's heart rhythm shows a regular rate of 50 bpm. The P wave looks like an inverted notch and appears after the QRS complex. What should the nurse suspect as the reason for this patient's rhythm? Select all that apply.

The nurse suspects that a patient's pacemaker is malfunctioning. What should the nurse assess when analyzing this patient's rhythm strip? Select all that apply.

Which assessment finding indicates that a patient has had a favorable response to adenosine (Adenocard)?

A patient's cardiac monitor shows a rate of 89 with a PR interval of 0.2 second and a QRS of 0.10 second. What is the most important nursing action?

The nurse prepares to analyze a patient's ECG rhythm strip. Place in order the steps the nurse should use to interpret this strip.

The nurse identifies that a patient is experiencing ventricular tachycardia. What did the nurse assess on the patient's ECG rhythm strip? Select all that apply.

A patient complaining of "feeling tired" has the following cardiac rhythm. The patient has a history of an irregular heartbeat and current vital signs are BP 134/78; RR 17; SaO₂ 97% on room air. What should be done first for this patient?

The nurse is reviewing normal cardiac conduction with a new graduate nurse. What should the nurse explain when the impulse reaches the bundle of His? Select all that apply.

Which criteria should the nurse use when assessing an ECG strip for atrial fibrillation?

The nurse notes that a patient on continuous cardiac monitoring has PR intervals that last 0.08 seconds. What should the nurse suspect as the reason for this finding?

The nurse receives the following ECG strip at shift report. Which action is most appropriate for this patient?

A patient is admitted to the telemetry unit with new onset of weakness and fatigue. The following rhythm is now seen on the monitor, and the patient is now complaining of shortness of breath and mild chest discomfort. Which medication would be appropriate for this patient?

A patient experiencing pulseless ventricular tachycardia is defibrillated twice and has received medications according to ACLS protocol. The following rhythm is now present. What should the nurse do next?

A patient arrives in the emergency department for chest pain, lightheadedness, and shortness of breath (SOB). The cardiac monitor shows sinus rhythm with the presence of multifocal PVCs. Which order should the nurse question?

A patient has the following rhythm. Which assessment finding indicates a need for further treatment?

The nurse determines that a patient is experiencing sinus tachycardia. What did the nurse assess on the patient's ECG rhythm strip? Select all that apply.